On March 17th, OASIS OB patient (picture below), gave birth by VBAC to a beautiful baby girl named Mia. Read on to hear her delightful and encouraging story on her trails of VBAC and how she made the delivery she wanted an actuality.

Patient Story @ OASIS

Today is baby Mia Rae's 1 week birthday. She was born with a successful VBAC delivery with Dr. Juliette Kinn (OB/GYN) at OASIS International Hospital. I made the decision in the final weeks to deliver at OASIS with her, because of the incredible personal care and attention she gave me. She was chatting with me the night before I went into labor! And the morning before I delivered. I was really scared about a VBAC.

My first delivery with my son two years ago was really hard and after 36 hours and 3 hours of pushing, I ended up with an unplanned cesarean. I really thought it could be possible that I didn't have the strength to push a baby out…. and I'm a decade long yoga teacher.

The last birth traumatized me but I was willing to try, and I felt safe and cared for to try at OASIS. On the Friday (Mar 17th) I delivered. Dr. Kinn checked up on me periodically throughout the afternoon and at 5:30pm right when her shift ended I was in active labor and pushing. She stayed with me and encouraged me to push, push, push.

When I thought it wasn't going to happen she said, "do we look scared? Are we in the OR? No. Keep pushing!"

She guided me perfectly with breathing – encouraging long sustained pushes. And at 6:25pm to my astonishment, little baby Mia Rae was born.

With 4 doctors in the room – Feifei (Midwife) was massaging my left hand and arm and offered a super comforting, loving energy. To my right was Dr. Wang Rui, head of the OB/GYN Dept. Dr. Kinn was at the delivery site and Dr. Vasili (Pediatrician) was there ready to greet baby girl.

She was placed on my chest and I was in heaven. Dr. Kinn then spent an hour giving me necessary aftercare, then left at 7:30pm to go to dinner. This was her Friday night after work. What a super hero of a women! Without her, I don't know if I would have had the confidence to believe I could do it. From the first meeting I had with her, she was so encouraging and positive. As baby Mia was nearly 4kg (8lbs), the doctors did express and explain the possibilities of complications, but they let me try anyway.

All I can say is that my choice to deliver at OASIS was the right one. That the care and attention the Doctors gave me was amazing and allowed me to have the delivery that I wanted.

VBAC – Vaginal Birth After Cesarean

Is a trail of labor safe?

If you choose a VBAC, you will be closely monitored throughout by your doctor. As with any labor, if you or the baby show signs of distress, an emergency C-section will be performed. Whether a VBAC is right for you depends on several things, including why you had a C-section before and how many C-sections you’ve had.

What’s the benefits of a VBAC?

The benefits of a VBAC compared to a C-section include:

+ Avoiding another scar on your uterus. This is important if you are planning on a future pregnancy. The more scars you have on your uterus, the greater the chance of problems with a later pregnancy.

+ Less pain after delivery.

+ Fewer days in the hospital and a shorter recovery at home.

+ A lower risk of infection.

+ A more active role for you and your birthing partner in the birth of your child.

Who is a good candidate for a VBAC?

+ Women who have a low-transverse uterine incision (horizontal) have a lower risk for uterine rupture than the “classical” or T-shaped incision. (note that the scar on your belly may not be the same as the scar on your uterus.

+ Those who have never had any other extensive uterine surgery, such as a myomectomy to remove fibroids.

+ Women who have never had a uterine rupture.

+ Women with no medical condition or obstetric problem (such as a placenta previa or a large fibroid) that would make a vaginal delivery risky.

What are the risks of a VBAC?

+ You run the risk of enduring hours of labor only to have a unplanned C-section.

+ There is a very small risk that your uterus will rupture at the site of your C-section incision, resulting in severe blood loss for you and possibly oxygen deprivation for your baby.

+ The risk of uterine rupture is higher if you attempt VBAC too soon after having a C-section — such as within 18 to 24 months.

+ An unplanned C-section after laboring carries a higher risk for surgical complications, such as excessive bleeding that could require a blood transfusion or a hysterectomy, in rare cases, as well as infections of the uterus and the incision.

VBAC deliveries are not supported by every hospital or by every doctor. It’s important to find a hospital that will support you in your decision to undergo a trial of labor and that there will be a doctor on site who can monitor your labor and perform an emergency C-section if necessary. You will also require a competent support staff with an anesthesiologist, other medical personnel, and equipment available around-the-clock to handle an emergency for you or your baby.

At OASIS we encourage women to deliver naturally and support each individual's decision. For women wishing to try a VBAC, our physicians will undergo a detailed assessment of each patient and lay out the benefits and risks so families can make informed decisions for their birth plan.

With years of accumulated experience, constant improvement to our emergency response plans and multidisciplinary cooperation, OASIS' VBAC success rate is over 90%, with no incidence of uterine rupture.

At every delivery, our medical team of OB/GYN physicians, Anesthesiologists, Midwives, Nurses and Pediatricians are standing by to assist and ensure a safe delivery for you and your baby.

Dr. Kinn graduated with honours from the University of Angers in France. She has a wealth of clinical experience from working in the obstetric and gynecology departments of major hospitals in Paris and other major French cities. She has also gained overseas experience in Scotland, New Caledonia, West Africa and Vietnam.

Specialized Areas:

Dr. Kinn has almost 10 years experience in Obstetrics and Gynecology. She is passionate about her work and in providing antenatal care to women, supporting them through their amazing and unique experiences and creating good doctor/patient relationships, which Dr. Kinn highly values. Dr. Kinn is also very experienced in vaginal delivery, cesarean section, as well as, high risk pregnancies. Her motto is “let's prepare for the worst and hope for the best”. In addition to obstetrics care, Dr Kinn also specializes in gynecological operations such as key hole hysterectomies, and removal of uterine fibroids, ovarian cysts and endometrial polyps. She is adept at the diagnosis and surgical treatment of breast cancer, and has a wealth of clinical experience in family planning. She enjoys sharing her knowledge through education, frequently holding group antenatal classes both to prepare women for labour, but also to allow mums-to-be to meet each other, providing an opportunity for them to build a social network.